Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.81 / $95.04 / $376.27	Facility		$38.81	$95.04	$376.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $19.97 / $40.25	Professional		$8.63	$19.97	$40.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.56 / $256.37 / $591.22	Facility		$187.56	$256.37	$591.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $11.34 / $16.70	Professional		$1.81	$11.34	$16.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.55 / $11.54 / $12.70	Facility		$8.55	$11.54	$12.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $29.31 / $34.89	Professional		$29.31	$29.31	$34.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $20.79 / $54.40	Professional		$8.60	$20.79	$54.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.63 / $243.95 / $376.27	Facility		$25.63	$243.95	$376.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $25.63 / $40.44	Professional		$12.14	$25.63	$40.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $29.46 / $75.00	Professional		$25.04	$29.46	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $36.86 / $54.82	Professional		$30.32	$36.86	$54.82